Lead poisoning and lead absorption : $b The symptoms, pathology and prevention, with special reference to their industrial origin, and an account of the principal processes involving riskLegge, Thomas Morison, Sir
Science
Lead poisoning and lead absorption : $b The symptoms, pathology and prevention, with special reference to their industrial origin, and an account of the principal processes involving risk
Legge, Thomas Morison, Sir
Lead poisoning
Persons who gradually acquire tolerance go through the stage of anæmia
without exhibiting any symptoms of colic or paresis, and without any
treatment the hæmoglobin and the number of red cells gradually pass
back to a more or less normal condition. During this period--that is,
whilst the blood shows signs of a diminution in its corpuscular and
colour content--basophile granules may always be found if sought for,
but disappear as a rule when the blood-count has returned to about
4,000,000 per c.c. and an 80 per cent. hæmoglobin. Such a man has now
developed tolerance to the poisonous influence of lead, a tolerance
which may be described as a partial immunity produced by recurrent
subminimal toxic doses. On the other hand, in a number of persons
who show definite susceptibility, the blood-changes are progressive,
and do not show signs of automatic regeneration. In such persons,
even after so short time as four to six weeks’ exposure to lead
absorption, definite symptoms of colic may make their appearance. The
removal of such an individual from the poisonous influence of lead
generally clears up the symptoms in a short time, but the symptoms
may occasionally continue for several months after removal from the
influence of the poison. An individual of this type is to be looked
upon as showing peculiar susceptibility, and should not be employed in
any lead process where there is risk.
Such statistics as are available on this point show that an increased
tolerance to the poisonous influence of lead is gradually acquired
during periods of work, in that the number of attacks of poisoning
diminish in frequency very considerably in relation to the number of
years worked. As will be seen on reference to the chapter dealing with
the statistics of lead poisoning (p. 46), the greatest number of cases
occur in persons who have only worked a short time in lead. On the
other hand, the sequelæ of lead poisoning only make their appearance,
as a rule, after long-continued exposure. It is important to bear in
mind that the various forms of paresis rarely make their appearance
unless the subject has been exposed to long-continued absorption of
lead, and, further, that the blood of such persons will as a rule show,
on careful examination, evidences of the long-continued intoxication.
If measures, therefore, were taken to determine the presence of such
continued intoxication, and to diminish the amount of poison absorbed
(subjecting the individual at the same time to a proper course of
treatment), a large number of the cases of paralysis, encephalopathy,
and death, incidental to the handling and manufacture of lead, could be
eliminated.
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